I Can See Health

In the ward.

The eighteen-year-old girl stared blankly at the ceiling.

A month ago, she was studying in the classroom with her classmates, looking forward to the future.

Maybe tomorrow, or the day after tomorrow, she will meet her Prince Charming.

However, misfortune in life is so sudden.

Dizziness, fatigue, and subsequent syncope.

Such an eighteen-year-old girl was at a loss.

The doctor told her that her heart was beating too slowly.

As the most important organ of the human body, once the heart stops beating, it is dangerous.

Only by implanting a pacemaker to help her heart beat could she avoid this danger.

However, she has not been in love yet.

She still had a lot of interesting things that she didn't have time to do.

"Dad, do I have to have a pacemaker?"

The girl turned to look at her father.

During this month, the man searched for medical treatment everywhere and could not sleep until late at night every day.

As soon as I got up the next morning, I had to continue looking for a hospital for my daughter.

Within a month, his hair turned gray.

"How could it be?" The man forced out a smile, "Didn't you listen to Director Lu today? Your electrocardiogram may have other diagnoses."

"And let me tell you, there was a boy who had a slow heart rate before. Other experts said he needed a pacemaker. But when he came to Director Lu, he was cured even without a pacemaker!"

A smile appeared on the girl's face.

A glimmer of hope arose in her heart.

But I don’t know when it will start.

Outside the ward window, there were dark clouds.

The wind was strong and the windows were blowing loudly.

Seeing it, a shopping storm is about to hit.

…

Cardiology demonstration classroom.

Lu Chen stood on the stage.

Behind him, on the projector, were three electrocardiograms of the girl.

"Let me ask a question, among these three electrocardiograms, is there only high-grade atrioventricular block?"

Lu Chen looked around and finally stopped at Gu Xinyue.

Everyone was talking about it and started discussing non-stop

"Do you think there are any other possible obstacles?"

Lu Chen gave some reminders.

Gu Xinyue has been with Lu Chen for a long time.

He knew that every step Lu Chen took had profound meaning.

Does this patient really have another diagnosis that might not require a pacemaker?

Gu Xinyue frowned deeply and did not miss any detail of the electrocardiogram.

This time, he really saw something.

"Director Lu, I understand!" Gu Xinyue stood up suddenly, "This patient has first-degree atrioventricular block, complete right bundle branch block, left posterior fascicular block, and is considered to have three-fascicular block!"

As soon as Gu Xinyue said these words, Jin Miao's eyes lit up.

When he looked at the electrocardiogram again, he saw these three types of conduction blocks.

This Laogu really has a lot of trouble.

On the stage, Lu Chen smiled and nodded.

"Dr. Gu is right. This patient has three types of blockade combined. Do you know where the blockage is?"

Lu Chen looked at Gu Xinyue.

Gu Xinyue looked at the electrocardiogram again, frowned, and then said slowly.

"I think atrioventricular knot or Xiura system are possible."

Lu Chen did not deny the answer, but looked at the others.

"What's your opinion?"

Jin Miao stood up, "I think the blocked part is in the Xiura system, right?"

Gu Xinyue asked doubtfully: "Why can't it be an atrioventricular knot?"

Jin Miao scratched his head, "It's a feeling. As for the specific reason, I can only understand it myself. I really can't explain it."

Everyone laughed when they heard Jin Miao's words.

However, Lu Chen gave Jin Miao a thumbs up, "Your sixth sense is really accurate. The blocked area is in the Xipu system."

"Director, what is the reason for this?"

Another deputy chief physician asked.

"As far as I know, this kind of block is clinically possible. We haven't done electrophysiological tests yet, so we definitely can't tell the difference."

Lu Chen smiled.

"You only know one, but not the other."

"If the patient is older, there is a possibility of atrioventricular node block."

"But for this 18-year-old girl, the atrioventricular node is not so prone to problems, and for patients with ventricular septal defects, the surgery mainly affects the bundle branch conduction system."

"The reason is also very simple. The interventricular septum is between the left and right ventricles. Surgery usually affects the bundle branch conduction system. The atrioventricular node is quite far away from there, so it generally does not affect it."

This statement is very simple to say.

But it is quite difficult to connect it to reality.

"Director, you said so much, but you didn't say how to treat this patient?" Gu Xinyue asked doubtfully, "Does a pacemaker need to be inserted for the next treatment?"

"Or, according to what you mean, this is the coexistence of three types of blockade. Wouldn't it be more appropriate to insert a pacemaker?"

Gu Xinyue’s question is also what everyone wants to ask.

After analyzing for a long time, Lu Chen revised the diagnosis of the electrocardiogram, but the general direction remained unchanged.

This type of multiple-block ECG is indeed an indication for pacemaker implantation.

At this time, Lu Chen said seriously: "I don't think I said that this patient doesn't need a pacemaker, right?"

"ah?"

When everyone heard this, they were all stunned.

Especially Gu Xinyue, her eyes widened.

The doctors in the department thought that Lu Chen had other insights.

At this time, Lu Chen continued: "For an eighteen-year-old girl in her prime, the occurrence of three-branch block is definitely not physiological, it must be pathological. The following four possibilities must be considered."

"First, acute viral myocarditis; second, progressive cardiac conduction obstruction; third, cardiomyopathy; fourth, damage to the conduction bundle system after ventricular septal surgery."

The patient had acute viral myocarditis without any prodromal symptoms of infection. After admission, multiple myocardial injury markers and pro-BNP tests were completely normal.

The patient did not have any symptoms of chest tightness, chest pain, or dyspnea, and the possibility of acute viral myocarditis was very small.

As for progressive cardiac conduction obstruction, this type of disease is a disease without obvious organic disease or involvement of the conduction tract system. The course of the disease is migrating, progressively worsening, and developing into high-grade or third-degree atrioventricular block.

This type of disease mostly occurs in middle-aged and elderly people and has a family history.

In addition, there was no evidence of cardiomyopathy from the cardiac color ultrasound. From the electrocardiogram, there was no evidence of cardiomyopathy, so cardiomyopathy was unlikely.

Lu Chen's remarks were extremely convincing.

Four possibilities, only the last one remains.

"That's the last possibility. The conduction bundle system will be damaged after ventricular septal surgery!"

A very common complication of ventricular septal surgery is atrioventricular block, and most of them involve the Hispanic system, so this patient can almost identify the cause of atrioventricular block.

"Director, I have another question." Gu Xinyue continued, "This patient has been postoperative for 13 years. Why didn't he get sick when he was a child? Why does he still have this condition now?"

Lu Chen thought for a while and said: "The only reasonable explanation is that the patient had surgery when he was a child. As the patient gets older, the heart conduction bundle system is also developing, which may affect the conduction due to the pulling of the patch. bundle system.”

"In this case, is a pacemaker necessary?" Gu Xinyue asked tentatively, hoping to get a different answer from Lu Chen.

After all, this is a girl who is only eighteen years old!

But unfortunately, reality is always cruel.

Not every disease can be cured perfectly.

Lu Chen's eyes were deep and he said slowly: "We have to do it!"

Before I knew it, it was raining heavily outside the window.

Black clouds are pressing down on the city, threatening to destroy it.

A completely depressing atmosphere enveloped everyone.

"Brother Shen!"

"Um!"

When Shen Changqing walks on the road, whenever he meets someone he knows, he will say hello or nod to each other.

But no matter who it is.

There was no unnecessary expression on everyone's face, as if they were indifferent to everything.

To this.

Shen Changqing has become accustomed to it.

Because this is the Demon Suppression Division, an organization that maintains the stability of the Qin Dynasty. Its main responsibility is to kill monsters and monsters. Of course, there are also some other side jobs.

It can be said.

Everyone in the Demon Suppression Division has a lot of blood on their hands.

When a person is used to seeing life and death, he will become indifferent to many things.

When he first came to this world, Shen Changqing was a little uncomfortable, but he got used to it over time.

The Demon-Suppressing Division is huge.

Those who can stay in the Demon Suppressing Division are all powerful masters, or those who have the potential to become masters.

Shen Changqing belongs to the latter.

Among them, the Demon Suppressor Division is divided into two professions, one is the Guardian Envoy and the other is the Demon Slayer.

Anyone who enters the Demon Suppression Department starts from the lowest level as a demon slayer.

Then he will be promoted step by step, and he is expected to eventually become a guardian envoy.

Shen Changqing's predecessor was a trainee demon slayer in the Demon Suppression Division, and he was also the lowest level among the demon slayers.

Possessing the memory of a previous life.

Regarding the environment of Zhenmo Division, UU Reading www. uukanshu． net is also very familiar.

It didn't take long for Shen Changqing to stop in front of a loft.

Unlike other places in the Demon Suppressing Division that were full of chills, the attic here seemed to stand out from the crowd, showing a different kind of tranquility in the bloody Demon Suppressing Division.

At this time, the attic door was open, and occasionally people came in and out.

Shen Changqing only hesitated for a moment before stepping in.

Enter the attic.

The environment changes in vain.

The fragrance of ink mixed with the faint smell of blood hit his face, causing him to frown instinctively, but then relaxed it quickly.

There is almost no way to cleanse away the smell of blood on everyone in the Demon-Suppressing Division.

:,!